An anonymous questionnaire was administered to a sample of 1,911 students at Sardinia's main university during the fall of 1997. The questionnaire assessed various behaviors relating to alcohol including its use during or outside meals and binge drinking, defined as five or more drinks in a row. A significantly higher number of males reported drinking alcohol outside of meals and binge drinking than females, and males were also more likely to report impaired driving and consequences after drinking alcohol than females. A logistic regression model was used to determine correlates of binge drinking using demographics, health-risk behaviors, and leisure activities. The model confirmed being a male as one of the strongest correlates, but also included first drinking alcohol before age 17, marijuana use, living away from parents, cigarette use, having multiple sex partners, and exercising. The results indicate that alcohol use is prevalent among university students and is related to the use of other substances. Further investigation is warranted with particular attention paid to gender as a determinant of use.